Healthcare Provider Details

I. General information

NPI: 1174438212
Provider Name (Legal Business Name): YUVRAJ KAUSHAL M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TRINITY HEALTH ACADEMIC FAMILY MEDICINE-NORTHEAST LIVON 37595 SEVEN MILE RD, SUITE 210
LIVONIA MI
48152
US

IV. Provider business mailing address

STREET NO. 3 PUNJABI BAGH
DERA BASSI PUNJAB
140507
IN

V. Phone/Fax

Practice location:
  • Phone: 734-430-9388
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: